Financial Policy
We are committed to providing you with the best possible care, and we are pleased to discuss our professional fees with you at any time. Your clear understanding of our Financial Policy is important to our professional relationship. Please ask if you have any questions about our fees, Financial Policy, or your responsibility.
To assist us in establishing your financial account with us, the following must be done:
- COMPLETE OUR “PATIENT INFORMATION FORM” BEFORE SEEING THE DOCTOR.
- CO-PAY AND DEDUCTIBLES PAYMENTS ARE DUE AT THE TIME OF SERVICE.
- PAYMENT CAN BE IN THE FORMS OF CASH, CHECKS, VISA, MASTERCARD, DISCOVER, AND AMERICAN EXPRESS.
MINORS ACCOMPANIED BY AN ADULT
The parents (or guardian) accompanying a minor are responsible for full payment at time of service.
REGARDING INSURANCE
If you have insurance, we will assist you in receiving maximum benefits.
Insurance is a contract between you and your insurance company, we are NOT a party to this contract. We file insurance claims as a courtesy to our patients. We will not become involved in disputes between you and your insurance company regarding deductibles, co-payments, covered charges, secondary insurance, “usual and customary” charges, pre-existing conditions, etc…, other than to supply factual information as necessary.
You are responsible for timely payment of your account
On major surgery, office visits and certified registered nurse anethesist (CRNA) charges, we may accept your insurance if we obtain approval from your insurance prior to the date of service. If your insurance company has paid the FULL BALANCE within 60 days, you have 30 days to pay the balance. If your insurance company pays more than the balance due we will send a refund check UPON REQUEST. We will mail you a customized statement every 30 days.
PPO / HMO
Each time you make an appointment with any physician, it is your responsibility to make sure your physician and the facility where service is rendered is currently under contract with your plan. VERIFICATION OF YOUR PLAN IS REQUIRED, THEREFORE, YOU MUST SHOW YOUR CURRENT CARD TO OUR RECEPTIONIST OR CHASHIER EACH VISIT.
If we are not currently a particiapating provider in your Insurance Plan, you are responsible for payment of your bill in full.
MEDICARE / MEDICAID
The federal government requires that all Medicare/Medicaid claims be filed by facility. Therefore, you must come to our Business Office each visit to show your Medicare/Medicaid card. We regret the inconvenience, but in order for you to receive your benefits, the federal government requies that all the rules be followed to their specifications.
WE ARE NOT RESPONSIBLE FOR YOUR VALUABLES, JEWLERY, PERSONAL ITEMS, EYEGLASSES OR CASH. PLEASE GIVE THEM TO YOUR FAMILY/RESPONSIBLE PARTY FOR YOUR SAFE KEEPING!
